Provider Demographics
NPI:1073081840
Name:CLAPPER, FARIBA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FARIBA
Middle Name:
Last Name:CLAPPER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4070 BASELINE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-6489
Mailing Address - Country:US
Mailing Address - Phone:916-572-1155
Mailing Address - Fax:916-403-7198
Practice Address - Street 1:4070 BASELINE RD STE 110
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-6489
Practice Address - Country:US
Practice Address - Phone:916-572-1155
Practice Address - Fax:916-403-7198
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2024-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79431183500000X
CAAPH113841835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty
No183500000XPharmacy Service ProvidersPharmacist